Active NPI
Renata Ratusznik-Martin, M.D.
- Family Medicine Physician
- Boston, MA
National Provider Identifier
1912971284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 159545
- Practice address
- 850 Harrison Ave
Yawkey 2
Boston, MA 02118-4072 - Phone
- (617) 414-2080
- Fax
- (617) 414-2090
- NPI assigned
- Feb 14, 2006
- Last updated
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 159545 | MA | Primary |
Addresses
Primary practice location
850 Harrison Ave
Yawkey 2
Boston, MA 02118-4072
Mailing address
67 Union St
# 303
Natick, MA 01760-7700
Phone (617) 414-4465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3202895 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
67 Union St
Suite 303
Natick, MA 01760-7700
Phone (508) 907-6201
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159545 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natick General Practice P C | Current | Accepting new patients | |
| Boston University Family Medicine, Inc. | Family Medicine | Past | Accepting new patients |
| Chinhak Chun, M.D. | Past | Accepting new patients | |
| Boston University Dermatology, Inc. | Past | Accepting new patients |
Locations
67 Union St
#303
Natick, MA 01760
Phone (508) 653-3966
Interoperability endpoints
- renata.ratusznik-martin.1@21936.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Natick, MA
- NPI 1689808677
-
- Dermatology Physician
- Boston, MA
- NPI 1376532853
-
- Family Medicine Physician
- Boston, MA
- NPI 1134166390
-
- Infectious Disease Physician
- Natick, MA
- NPI 1174640775
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Newton, MA
- NPI 1053311514
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Milford, MA
- NPI 1477527497
-
dba MetroWest Medical Center
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
-
- Home Health Agency
- Walpole, MA
- NPI 1205820933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1912971284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 UNION ST",
"address_2": "# 303",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "617-414-4465",
"fax_number": "617-414-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE",
"address_2": "YAWKEY 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184072",
"telephone_number": "617-414-2080",
"fax_number": "617-414-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATUSZNIK-MARTIN",
"first_name": "RENATA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "159545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3202895",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.